Bilious pericardial effusion at initial presentation in a patient with lung cancerReport as inadecuate




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World Journal of Surgical Oncology

, 1:24

First Online: 08 November 2003Received: 20 July 2003Accepted: 08 November 2003

Abstract

BackgroundCardiac tamponade as the initial manifestation of metastatic cancer is a rare clinical entity. Furthermore, a thoraco-biliary fistula is another rare complication of echinococcosis due to rupture of hydatid cysts located at the upper surface of the liver to the pleural or pericardial cavity. We report a case of non-small cell lung cancer with a coexisting hepatic hydatid cyst presenting as a bilious pericardial effusion.

Case reportA 66-year-old patient presented with cardiac tamponade of unknown origin. Chest CT-scan demonstrated a left central lung tumor, a smaller peripheral one, bilateral pleural effusions and a hydatid cyst on the dome of the liver in close contact to the diaphragm and pericardium. Pericardiotomy with drainage was performed, followed by bleomycin pleurodesis. The possible mechanism for the bilious pericardial effusion might be the presence of a pericardio-biliary fistula created by the hepatic hydatid cyst.

ConclusionsThis is the first case of a bilious pericardial effusion at initial presentation in a patient with lung cancer with coexisting hepatic hydatid cyst.

KeywordsBile pericardial effusion cardiac tamponade hydatid disease lung cancer pericardio-biliary fistula Electronic supplementary materialThe online version of this article doi:10.1186-1477-7819-1-24 contains supplementary material, which is available to authorized users.

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Author: Christophoros S Kotoulas - Christophoros Foroulis - Konstantinos Letsas - Konstantinos Kostikas - Marios Konstantinou

Source: https://link.springer.com/







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